| NPI | 1578809638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAGENE STEPHENS SEXTON Co Owner 270-584-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: KY P07547) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2024-07-01 |